GA SDS III PC

ATLANTA, GA
NPI1861255093
Doing Business AsELITE SMILES ORTHODONTICS
Entity TypeOrganization
Authorized ContactCHARLOTTE V DASCH
Direc Of Cred And Prov Rel
504-638-0303
Organization Subpart ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date2024-01-31
Last Update Date2024-01-31
Business Address
GA SDS III PC
91 W WIEUCA RD NE STE 300
ATLANTA, GA 30342-3248
Phone number: 404-303-7400
Mailing Address
GA SDS III PC
1610 54TH AVE N STE 205
NASHVILLE, TN 37209-1442
Phone number: